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General NPI Number Information
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NPI Number | 1386715522
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Entity Type | Individual
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Provider Name | LUKE VANDER BLEEK RPH
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Gender | Male
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Dates
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Enumeration Date | 11/10/2006
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Last Update Date | 11/13/2007
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Provider Practice Location Address
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Address Line | 124 E MAIN ST
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City | MORRISON
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State | IL
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Zip | 61270-2638
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Country | US
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Telephone | 815-772-3415
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Fax | 815-772-7240
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Provider Business Mailing Address
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Address Line | 124 E MAIN ST
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City | MORRISON
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State | IL
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Zip | 61270-2638
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Country | US
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Telephone | 815-772-3415
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Fax | 815-772-7240
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | BF5563350
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License Number State | IL
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